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1700611092
KELLIE DIETZ
FRENCH CAMP, CA
NPI
1700611092
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Former Name
KELLIE DUKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1101X Technician/Technologist, Ophthalmic Assistant
Enumeration Date
2024-09-05
Last Update Date
2024-09-05
Business Address
KELLIE DIETZ COA
7777 E FREEDOM RD
FRENCH CAMP, CA 95231-9694
Phone number: 209-946-3400
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Mailing Address
KELLIE DIETZ COA
6443 OAKRIDGE WAY
SACRAMENTO, CA 95831-2233
Phone number: 916-204-5672
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